A Research on the Effect of Personalised Bedside Treadmill in Phase Ⅰ Rehabilitation of Patients with High Risk of Exercise Risk after Emergency PCI for Myocardial Infarction
Objective:To evaluate the effect of personalised bedside treadmill applied to phase Ⅰ cardiac rehabilitation in patients with high-risk exercise risk after myocardial infarction haemodilution reconstruction.Methods:500 MI patients who undergoing phase Ⅰcardiac rehabilitation after emergency PCI were selected from the department of cardiology in the Second Affiliated Hospital of Xi'an Jiaotong University from April 2022 to December 2023,200 high-risk patients were selected according to the stratification of exercise risk and completed one-month outpatient follow-up.The patients were divided into the bedside treadmill group and the general rehabilita-tion therapy group,100 cases each,according to whether they performed personalised treadmill rehabilitation training or not.Cardiores-piratory function,emotion,quality of life,exercise tolerance and clinical adverse events were recorded and compared between the two groups at baseline and at 1 month follow-up.Results:There was no significant difference in the incidence of abnormal heart rate and oxy-gen saturation,systolic blood pressure drop of ≥ 10 mmHg as well as ST-segment depression of electrocardiogram,cardiac arrhythmia and uncomfortable symptoms due to exercise during rehabilitation between the two groups(P＞0.05).The 6-minute walking distance,anxiety level,fear of exercise,physiological function in SF-36 and general health status score of the treadmill group were significantly better than those of the general group(P＜0.05).Conclusion:Early personalised bedside treadmill exercise promotes improvement of car-diac function and effectively alleviates negative emotions in myocardial infarction patients with high exercise risk after PCI.
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